A client asks the nurse why they have to go to therapy and cannot just take the prescribed antidepressant medication. Which would be the most therapeutic response by the nurse?

Both are recommended; since your insurance covers both, that is the best plan for you.

Medications balance brain chemistry, but therapy helps achieve lasting behavior change.

The effects of medications will not last forever; you will need to learn to function without them.

What are the reservations that you have regarding attending therapy sessions?

Answer and Explanation

The Correct Answer is B

Choice A reason: Recommending both treatments due to insurance coverage is not therapeutic, as it does not address the clinical rationale. Antidepressants and therapy target different aspects of depression (neurochemical and behavioral), and this response fails to explain their complementary roles effectively.

Choice B reason: Antidepressants correct neurotransmitter imbalances (e.g., serotonin) to alleviate depressive symptoms, while therapy (e.g., CBT) addresses maladaptive thought patterns and behaviors, promoting long-term coping skills. This combination enhances recovery, making this the most therapeutic explanation for the client’s treatment plan.

Choice C reason: Suggesting medications are temporary implies the client will stop treatment, which may not be true for chronic depression. This undermines the importance of ongoing management and therapy’s role in behavioral change, making it less therapeutic and potentially discouraging.

Choice D reason: Asking about reservations may encourage dialogue but does not directly explain the need for therapy alongside medication. It sidesteps the clinical rationale for combined treatment, which is critical for understanding the comprehensive approach to depression management.

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Correct Answer is D

Explanation

Choice A reason: Difficulty focusing and helplessness are depressive symptoms, but flight of ideas is characteristic of mania, not major depression. This combination does not fully align with the diagnosis, as mania involves elevated mood, which is inconsistent with the client’s statement.

Choice B reason: Depressed mood and guilt are hallmarks of major depression, but pressured speech is a manic symptom, involving rapid, excessive talking. This does not correlate with the anhedonic, low-energy presentation of major depression described by the client.

Choice C reason: Changes in sleep pattern and fatigue are common in depression, but grandiose mood is a manic feature, not associated with major depression. This contradicts the client’s anhedonia, making this combination inconsistent with the diagnosis of major depression.

Choice D reason: Anhedonia (loss of pleasure), feelings of worthlessness, and difficulty focusing are core symptoms of major depression, reflecting altered serotonin and dopamine levels affecting mood, self-perception, and cognition. These align with the client’s statement and the diagnosis, making this the correct choice.

A. I will weigh myself daily and notify the healthcare provider if I gain 3 pounds in one day. B. I will notify the healthcare provider if I am becoming increasingly short of breath at rest. C. I will include lower sodium intake in my daily diet. D. I understand that I may need to sleep sitting up in a reclining chair.

Correct Answer is D

Explanation

Choice A reason: Daily weight monitoring and reporting a 3-pound gain in one day indicates fluid retention, a sign of worsening heart failure. This is correct and shows understanding of self-monitoring to prevent complications, requiring no further teaching.

Choice B reason: Notifying the provider about increasing shortness of breath at rest is appropriate, as it signals worsening heart failure due to reduced cardiac output or pulmonary edema. This reflects proper understanding of symptom monitoring, requiring no additional teaching.

Choice C reason: A low-sodium diet reduces fluid retention in heart failure by decreasing sodium-induced water retention, preventing worsening of edema or congestion. This statement is correct and demonstrates understanding of dietary management, requiring no further teaching.

Choice D reason: Sleeping in a reclining chair may occur in severe heart failure due to orthopnea, but it is not a standard recommendation. It suggests poor symptom control, requiring further teaching on optimizing medical management, such as medication adherence and fluid monitoring, to prevent this need.

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A client asks the nurse why they have to go to therapy and cannot just take the prescribed antidepressant medication. Which would be the most therapeutic response by the nurse?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A client is admitted with a diagnosis of major depression and states, “Nothing brings me pleasure anymore.” Which behaviors will the nurse assess that correlate with the diagnosis?

Correct Answer is D

Explanation

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Correct Answer is D

Explanation

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